中国肺癌杂志2017，Vol.20Issue(4)：264-271,8.DOI:10.3779/j.issn.1009-3419.2017.04.07
应用Clavien-Dindo分级系统对肺癌患者术后并发症分级及危险因素分析
Analysis of Postoperative Complications and Risk Factors of Patients with Lung Cancer through Clavien-Dindo Classification
李鹏飞 1赖玉田 1周坤 1车国卫1
作者信息
- 1. 610041成都,四川大学华西医院胸外科
- 折叠
摘要
Abstract
Background and objective Postoperative complications (PCs) are contributing factors to patient mortality following lung resection.In this retrospective study,the Clavien-Dindo classification was used to analyze the current incidence of PCs and identify the risk factors of different grades of PCs.Methods A total of 966 lung cancer patients who underwent lobectomy in our department between June 2013 and December 2014 were retrospectively enrolled.Patients were divided into two groups depending on the occurrence of PCs.2he PCs were classified into four grades through the Clavien-Dindo classification,and the related risk factors of different grades were evaluated.Results Approximately 15.0％ (145/966) of patients had PC (total incidence:39.3％,380/966).Among the 380 cases with PCs,the proportions of Clavien-Dindo grade Ⅰ,grade Ⅱ,grade lⅢ and grade Ⅳ or above complications were 6.8％,75.3％,15.0％ and 2.9％,respectively.Binary Logistic regressions showed that preoperative forced expiratory volume in one second (FEV1),diffusion capacity for carbon monoxide of the lung (single breath)(DLco SB),and preoperative combined chronic obstructive pulmonary disease were the significant independent factors for PCs.FEV1 in preoperative pulmonary function was the significant risk factor for complications at Clavien-Dindo grade Ⅰ,grade Ⅱ,grade Ⅲ,and above.Conclusion Clavien-Dindo grade Ⅱ complications are the most common complications within 30 days after lung cancer lobectomy.FEV1 is closely related to the occurrence of PCs and may potentially be one of the practical variables to assess the risk of occurrence of P Cs.关键词
肺肿瘤/术后并发症/Clavien-Dindo分级/危险因素Key words
Lung neoplasms/Postoperative complications/Clavien-Dindo classification/Risk factors引用本文复制引用
李鹏飞,赖玉田,周坤,车国卫..应用Clavien-Dindo分级系统对肺癌患者术后并发症分级及危险因素分析[J].中国肺癌杂志,2017,20(4):264-271,8.
